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Sexual Dysfunction for Women

Symptoms of Sexual Dysfunction in Women

  • Inability to achieve orgasm
  • Inadequate vaginal lubrication before or during intercourse
  • Inability to relax the vaginal muscles to allow intercourse (vaginismus)
  • Lack of desire in or for sex
    Inability to become aroused
  • Pain with intercourse

What Causes Sexual Dysfunction?

 

Sexual dysfunction can be a result of a physical or psychological problem.  Some of the causes can be related to:

  • Low estrogen
  • Low testosterone
  • Hormonal changes after childbirth
  • Breastfeeding
  • Menopause and peri-menopause

Others that may cause sexual dysfunction in women:

  • HTN
  • DM
  • Medications
  • Relationship issues
  • Sexual inhibitions
  • Stress
  • Fatigue
  • Pain
Dr. Melissa Loseke and family

Physical Causes

Many physical and/or medical conditions can cause problems with sexual function. These conditions include diabetes, heart disease, neurological diseases, hormonal imbalances, menopause plus such chronic diseases as kidney disease or liver failure, and alcoholism or drug abuse. In addition, the side effects of certain medications, including some antidepressant drugs, can affect sexual desire and function.

Psychological Causes

These include work-related stress and anxiety, concern about sexual performance, marital or relationship problems, depression, feelings of guilt, or the effects of a past sexual trauma.

The most common problems related to sexual dysfunction in women include:

  • Inhibited sexual desire. This involves a lack of sexual desire or interest in sex. Many factors can contribute to a lack of desire, including hormonal changes, medical conditions and treatments (for example, cancer and chemotherapy), depression, pregnancy, stress, and fatigue. Boredom with regular sexual routines also may contribute to a lack of enthusiasm for sex, as can lifestyle factors, such as careers and the care of children.
  • Inability to become aroused. For women, the inability to become physically aroused during sexual activity often involves insufficient vaginal lubrication. This inability also may be related to anxiety or inadequate stimulation. In addition, researchers are investigating how blood flow problems affecting the vagina and clitoris may contribute to arousal problems.
  • Lack of orgasm (anorgasmia). This is the absence of sexual climax (orgasm). It can be caused by a woman’s sexual inhibition, inexperience, lack of knowledge, and psychological factors such as guilt, anxiety, or a past sexual trauma or abuse. Other factors contributing to anorgasmia include insufficient stimulation, certain medications, and chronic diseases.
  • Painful intercourse. Pain during intercourse can be caused by a number of problems, including endometriosis, a pelvic mass, ovarian cysts, vaginitis, poor lubrication, the presence of scar tissue from surgery, or a sexually transmitted disease. A condition called vaginismus is a painful, involuntary spasm of the muscles that surround the vaginal entrance. It may occur in women who fear that penetration will be painful and also may stem from a sexual phobia or from a previous traumatic or painful experience.

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How Is Female Sexual Dysfunction Treated?

The ideal approach to treating female sexual dysfunction involves a team effort between the woman, doctors, and trained therapists. Most types of sexual problems can be corrected by treating the underlying physical or psychological problems. Other treatment strategies focus on the following:

  • Providing education. Education about human anatomy, sexual function, and the normal changes associated with aging, as well as sexual behaviors and appropriate responses, may help a woman overcome her anxieties about sexual function and performance.
  • Enhancing stimulation. This may include the use of erotic materials (videos or books), masturbation, and changes in sexual routines.
  • Providing distraction techniques. Erotic or non-erotic fantasies; exercises with intercourse; music, videos, or television can be used to increase relaxation and eliminate anxiety.
  • Encouraging non-coital behaviors. Non-coital behaviors (physically stimulating activity that does not include intercourse), such as sensual massage, can be used to promote comfort and increase communication between partners.
  • Minimizing pain. Using sexual positions that allow the woman to control the depth of penetration may help relieve some pain. Vaginal lubricants can help reduce pain caused by friction, and a warm bath before intercourse can help increase relaxation.

Treatment Options for Women

 

PT-141

Developed from the peptide Melanotan 2, PT 141 is the only pharmacological product available to treat both men and women. It is branded as Vylessi for female sexual dysfunction. PT-141 acts directly on the nervous system to increase desire, arousal, and sexual function. For men, this means you gain more than just the ability to achieve an erection, you increase sensation, desire, pleasure, motivation for sex as well as better erection strength and endurance. Ladies you get improved desire, motivation, clitoral sensation, and increased ability to orgasm. As a couple, you not only reignite your passion for each other but get to intimately reconnect in your relationship.

Oxytocin

Oxytocin is a powerful peptide hormone that acts as a neurotransmitter in the brain. It is thought to be involved in social cognition and behavior, ranging from mother-infant bonding and romantic connections to group-related attitudes and prejudices. Oxytocin is released from the anterior pituitary during moments of snuggling or social bonding, giving it the nickname the “cuddle” or “love hormone.” In women, oxytocin plays a role in the birthing process and nursing. It causes uterine contractions during labor and helps shrink the uterus after delivery. Oxytocin is released as a result of suckling during breastfeeding leading the “let down” of milk to the infant. For men, oxytocin facilitates bonding and may help with the formation of social memories, both pleasant and unpleasant.

Oxytocin levels rise during sexual stimulation and orgasm in both men and women and play an important role in sexual arousal. Studies show elevated oxytocin levels immediately after orgasm and in men, increased levels throughout sexual arousal, not just following orgasm. Oxytocin targets erectile tissue having an indirect effect on the ability to achieve an erection in men. It is also thought to be associated with ejaculation by increasing sperm count and contracting ejaculatory tissues. Oxytocin has been proposed to have a benefit in premature ejaculation through its mediation by vasopressin receptors. In both sexes, oxytocin is suggested with increased concentration to increase the intensity of orgasm. From a relationship standpoint, it can enhance trust, growth, empathy for partners, increase positive relationship memories, improve fidelity, foster more positive communication, and allow better processing of bonding cues.

Arousal Cream

Arousal, or scream cream, is a custom-blended compounded designed to increase sexual drive and heighten pleasure. Commonly prescribed for women, it can provide benefits to men as well. Scream Cream is a topical cream applied to external genitalia, including the clitoris in women, that works by widening blood vessels and increasing oxygen circulation which results in improved sensitivity, increased ability to orgasm, with stronger orgasm. In females, use can also stimulate natural vaginal lubrication and moisture and relax vaginal muscles, thereby decreasing pain with intercourse. Arousal cream is designed to act locally without significant absorption into the bloodstream. Benefits are apparent in as little as 20-30 minutes and can last up to 2 hours. Arousal cream is frequently compounded specifically for each individual, utilizing a variation of a combination of the following medications-amino Phyllis, ergoloid, L-arginine, pentoxifylline, sildenafil, and testosterone. Individually, these medications are used to treat or prevent heart disease from arterial plaque formation, blood clots, increasing blood flow through the coronary arteries, migraine relief, improve blood pressure, speed surgical recovery, increase immune-boosting effects, improve tissue repair and wound healing, and treat symptoms of hormonal imbalance. The synergistic properties of each medication lead to further enhanced libido and sexual stimulation.

The Re-new Shot

The Re-new shot for women is a non-surgical procedure that utilizes the healing capacity of your own blood, specifically the platelets. Platelet-rich plasma contains growth factors that instigate the healing cascade leading to repair, rejuvenation, and revitalization of the tissues, clitoris, and vagina.

The Re-new Shot, similar to the O-Shot™, is a non-surgical procedure that utilizes the healing capacity of your own blood, specifically the platelets, to treat sexual dysfunction and stress urinary incontinence.  At Re-new Institute, we have developed a cutting-edge procedure that further enhances the benefits of PRP with the addition of powerful peptides. The Re-new Shot is a safe procedure with no downtime and is available only by the trained physicians at Re-new Institute. With the addition of peptide therapy to the platelet-rich plasma, patients are able to increase new blood vessel and nerve formation, reduce scar tissue, and increase tissue repair at a much higher degree than PRP only. The procedure requires a simple blood draw to extract blood that is then placed in a centrifuge to isolate the platelet-rich plasma. Numbing medication is used to minimize discomfort of the procedure, our goal is that your fear of pain is greater than the actual pain experienced from the procedure. This revitalizing blend of PRP and peptides is then injected into the vaginal wall and clitoris. Results can be immediate but are typically noticed starting 2-3 weeks after the procedure and maximizing around 6-8 weeks after injections. Benefits can last anywhere from 12-18 months. The PRP may need to be repeated to continue improvements and can be combined with other treatments including hormone replacement therapy, amongst many others. You achieve- increased vaginal lubrication, enhanced sensation and heightened orgasms, increased libido or desire, increased ability to orgasm, decreased urinary incontinence with laughing, coughing, sneezing, etc, improved circulation and blood flow can be used to treat the gynecological condition lichen sclerosis, treatment of chronic vaginal pain or improved pain with intercourse, can help with interstitial cystitis, enhance sensation during penetrative intercourse with a tightened vaginal introitus, and improved relationship and intimacy with your partner.

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Dr. Melissa Loseke and family

FAQs

How Do Hormones Affect Female Sexual Dysfunction?

Hormones play an important role in regulating sexual function in women. With the decrease in the female hormone estrogen that is related to aging and menopause, many women experience some changes in sexual function as they age, including poor vaginal lubrication and decreased genital sensation. Research suggests that low levels of the male hormone testosterone also contribute to a decline in sexual arousal, genital sensation, and orgasm.

Researchers still are investigating the benefits of hormones and other medications, including drugs like Viagra, to treat sexual problems in women.

What Effect Does a Hysterectomy Have on Female Sexual Dysfunction?

Many women experience changes in sexual function after a hysterectomy (surgical removal of the uterus). These changes may include a loss of desire, and decreased vaginal lubrication and genital sensation. These problems may be associated with the hormonal changes that occur with the loss of the uterus. Furthermore, nerves and blood vessels critical to sexual function can be damaged during the surgery.

How Does Menopause Affect Female Sexual Dysfunction?

The loss of estrogen following menopause can lead to changes in a woman’s sexual functioning. Emotional changes that often accompany menopause can add to a woman’s loss of interest in sex and/or ability to become aroused. Hormone replacement therapy (HRT) or vaginal lubricants may improve certain conditions, such as loss of vaginal lubrication and genital sensation, which can create problems with sexual function in women. Also, an oral drug taken once a day, ospemifene (Osphena), makes vaginal tissue thicker and less fragile

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